Otoplasty New Jersey
This procedure is often referred to as “ear pinning” as its goal is to set back over-protruding ears. This is performed on child ages 5+ as well as adults. It is accomplished by making incisions behind the ear and correcting the issues leading to ear protrusion, as discussed in more details below.
|PATIENT GOALS:||Reduce prominence and protrusion of the ears|
|SURGICAL GOALS:||Reduce excess ear cartilage Create an antihelical fold|
|ANESTHESIA / SURGICAL LOCATION OPTIONS||General (Hospital or Surgery Center) Local (In Office)|
|PROCEDURE LENGTH||1 – 3 hours|
|RECOVERY TIME||7 – 10 days|
Otoplasty Frequently Asked Questions
What Are Over Protruding Ears?
Overly prominent or protruding ears are present from childhood. They can be aesthetically bothersome for some individuals and even lead to issues such as wearing helmets. Ears can protrude for one of two reasons, or a combination of the two. The concha bowl is the larger bowl-like portion at the center of the ear.
Over growth of this portion of the ear can push it forward, thus protruding the ear. Another reason is the lack, or under-development of the antihelical rim. The top outer portion of the ear that curves around is called the helical rim. Just inside this is another fold called the anti-helical rim. This antihelical rim is actually an area where the ear folds back on itself, so if this is not present, this area will be flat and the ear will be protruded forward.
When Can Otoplasty Be Performed?
People of various ages seek to have otoplasty either for themselves or their children. Since this is something that noticed during childhood parents often ask about it early on, but it is generally advisable to wait at least until the age of 5. Some adults have protruding ears that they find bothersome and seek to have these corrected in adulthood.
How Is Otoplasty Performed?
While this can be performed under general anesthesia or with local numbing and the patient awake, it is best to have children under general anesthesia. Adults have the option of being awake.
In all cases, the incision is made behind the ear. For cases of concha bowl excess (see above), the extra cartilage is trimmed away. The ear is then brought back to a neutral position and sutured in place. In cases lacking an anti-helical rim and fold in the cartilage is created with sutures.
What Is the Recovery After Otoplasty?
After the procedure a compression dressing is placed. This is a wrap around the head to keep the ears in position and limit swelling. It is changed after 24 hours to a less bulky dressing compression dressing that is left in place for 1 week. Patients report a mild to moderate throbbing, with most of the discomfort coming from the constant pressure around the head and ears, however it is very tolerable. Sutures are removed after 7 days. The patient wears a light compression dressing nightly for the first month to ensure good healing.